Individual
GRANT SAWISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13395 N MARANA MAIN ST, MARANA, AZ 85653-7008
(520) 682-4111
(520) 682-3817
Mailing address
13395 N MARANA MAIN ST, MARANA, AZ 85653-7008
(520) 682-4111
(520) 682-3817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53485
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146378
—
AZ
Enumeration date
08/24/2022
Last updated
11/06/2023
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